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Social support for functional dependence, activity patterns, and chronic pain outcomes: A cross-lagged mediation panel study

2024Journal article Restricted access
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dc.contributor.authorBernardes, Sónia F.
dc.contributor.authorBrandão, Tânia
dc.contributor.authorde Matos, Marta Osório
dc.contributor.authorFerreira-Valente, Alexandra
dc.date.accessioned2024-11-29T19:40:39Z
dc.date.available2024-11-29T19:40:39Z
dc.date.issued2024
dc.description.abstractObjective: Received social support undermining engagement in life activities of individuals with chronic pain (e.g., solicitousness, support for functional dependence) is consistently correlated with worse physical functioning, pain severity and disability. Whether such responses lead to worse pain outcomes (operant model of pain) or the latter lead to more supportive responses undermining activity engagement (social communication and empathy models of pain) is unknown, given the lack of crosslagged panel studies. Furthermore, the mediating role of activity patterns in such relationship over time is entirely unclear. This study aimed to bridge these gaps. Methods: This was a three-month prospective study with three waves of data collection (T1-T3; six-week lag in-between), including 130 older adults (71% women; Mage=78.26) with musculoskeletal chronic pain attending day-care centers. At every time point, participants filled out self-report measures of staff social support for functional dependence, activity patterns, physical functioning, pain severity and interference. Scales showed good/very good test-retest reliability (ICC=.74-.96) and internal consistency (all α>.90). Results: Parsimonious crosslagged panel mediation models showed the best fit (χ²/df<2.44; CFI>.96; GFI>.93; RMSEA<.09). Bidirectional effects were found over time, but poorer pain outcomes at T1 (higher pain severity/interference, lower physical functioning) more consistently predicted higher social support for functional dependence than vice versa. Poorer pain outcomes (T1) predicted more avoidance/less overdoing (T3), via increased received support for functional dependence (T2). Conclusion: Further research on the cyclical relationships between the study variables across chronic pain trajectories is needed to harness the power of interpersonal relationships in future self-management interventions.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationBernardes, S. F., de Matos, M. O., Brandão, T., & Ferreira-Valente, A. (2024). Social support for functional dependence, activity patterns, and chronic pain outcomes: A cross-lagged mediation panel study. Health Psychology, 43(7), 488–499. https://doi.org/10.1037/hea0001370pt_PT
dc.identifier.doi10.1037/hea0001370pt_PT
dc.identifier.issn02786133
dc.identifier.urihttp://hdl.handle.net/10400.12/10034
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherAmerican Psychological Associationpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectChronic painpt_PT
dc.subjectReceived social supportpt_PT
dc.subjectActivity patternspt_PT
dc.subjectCross-lagged panel designpt_PT
dc.subjectOlder adultspt_PT
dc.titleSocial support for functional dependence, activity patterns, and chronic pain outcomes: A cross-lagged mediation panel studypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceUnited Statespt_PT
oaire.citation.endPage499pt_PT
oaire.citation.issue7pt_PT
oaire.citation.startPage488pt_PT
oaire.citation.titleHealth Psychologypt_PT
oaire.citation.volume43pt_PT
person.familyNameBernardes
person.familyNamePais Brandão
person.givenNameSónia
person.givenNameTânia Raquel
person.identifier.ciencia-id8B10-FDBD-A18D
person.identifier.orcid0000-0002-6664-4859
person.identifier.orcid0000-0001-7865-2445
person.identifier.scopus-author-id6505784593
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationc3cb0135-3eba-4d63-9a3b-5c8f67431e5a
relation.isAuthorOfPublication0ac729c9-c17d-42f0-a76c-c4e1551a87b5
relation.isAuthorOfPublication.latestForDiscovery0ac729c9-c17d-42f0-a76c-c4e1551a87b5

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